Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05443 | Date 16/10/2023 |
| Token No | SM/22-23/14450 16/10/2023 | Serial | 057 |
| Patient Name | Mr. SK ABDUL SAKIB | Contact No | 9830776598 |
| Address | 65 MALLICKPARA LANE SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||